Cole Wood Anderson
Individual provider Active NPI Case Manager/Care Coordinator · Logan, UT
NPI 1265073274 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1265073274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 90 E 200 N
Logan, UT 84321 - Phone
- (435) 752-0750
- NPI assigned
- Oct 1, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
90 E 200 N
Logan, UT 84321
Mailing address
90 E 200 N
Logan, UT 84321-4034
Phone (435) 752-0750
Other providers in Logan, UT
- Allan David Anderson
- Amelia S. Anderson
- Andrew Justin Anderson
- Angela G Anderson
- Cody Sue Anderson
- David Austin Anderson
- Drew Anderson
- Gregory Earl Anderson
- Hailey Anderson
- Jacob Douglas Anderson
All providers in Logan, UT · Case Manager/Care Coordinator in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.